Individual provider Active NPI

Cindy Alexandra Tuttle Rollins, PSY.D

  • Clinical Psychologist
  • Prescott, AZ
National Provider Identifier
1669710430
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4220 Issued in AZ
Practice address
1680 W Iron Springs Rd
Suite 103
Prescott, AZ 86305-3313
Phone
(928) 458-5817
NPI assigned
Jan 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4220 AZ Primary

Addresses

Primary practice location

1680 W Iron Springs Rd
Suite 103
Prescott, AZ 86305-3313

Mailing address

1680 W Iron Springs Rd
Suite 103
Prescott, AZ 86305-3313
Phone (928) 458-5817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1669710430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 W IRON SPRINGS RD",
            "address_2": "SUITE 103",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053313",
            "telephone_number": "928-458-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W IRON SPRINGS RD",
            "address_2": "SUITE 103",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053313",
            "telephone_number": "928-458-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "CINDY",
        "middle_name": "ALEXANDRA TUTTLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.